I'm gonna be honest, this is much closer to the future that humanity deserves than the AI utopia many of you were dreaming of. Look at the entirety of human history and all the evil things people have done, and look at your own consumption of factory-farmed meat/dairy/eggs. Look at how few people donate kidneys (less than 0.1% in USA, and even lower in countries like Japan). And of course people would rather spend their 1st-world disposable income on enshitified creature-comforts than donate it; about $3500 is enough to save a kid's life from malaria, or go on a family vacation to Disney World.

People will say "I'd be a better person if only I were rich!", but predictably, the number of rich people willing to do those things is almost a rounding error.